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OH Telemedicine

Updated on November 22, 2021.  Medical content reviewed by Dr. Joseph Rosado, MD, M.B.A, Chief Medical Officer

Ohio Medical Marijuana Program: Telemedicine

Ohio’s “Telemedicine Certificate” Chapter 4731-11-09 of the Administrative Code — effective September 29, 2015 — defines the “practice of telemedicine” as “the practice of medicine in this state through the use of any communication, including oral, written, or electronic communication, by a physician located outside this state”; and requires that any person who intends to practice telemedicine in the State of Ohio, must first file an application with the state medical board, and hold a valid and current Ohio medical license — as per division (D) of section 4731.29 of the Revised Code — while complying with sections 4776.01 to 4776.04.

Ohio’s “Telemedicine” Chapter 5160-1-18 — effective January 02, 2015 — defines “telemedicine” as the “direct delivery of services to a patient via synchronous, interactive, real-time electronic communication that comprises both audio and video elements” (telemedicine does not include the delivery of service by electronic mail, telephone or facsimile transmission).

Rules governing telemedicine in Ohio for prescribing medical marijuana are changing. Patients interested in getting a medical marijuana evaluation conducted in the privacy of their own home, or location of their choosing, can access it via a secure real-time, live-video connection here:

Ohio has a progress telemedicine program, that includes behavioral health services, pharmacological management, and school-based speech therapy.

Effective January 01, 2015, Ohio Medicaid recognizes and reimburses, live-video telemedicine services — store-and-forward technology and home health monitoring, not included.

Ohio has some of the least-restrictive policies for out-of-state physicians, not having yet joined, the Interstate Medical Licensure Compact. At this time, Ohio allows out-of-state health care practitioners, to practice telemedicine in the state, after obtaining a special telemedicine permit from the State Medical Board of Ohio — practitioners may choose, but are not currently required, to obtain a full Ohio licensure, to provide telemedicine services to patients, geographically situated in Ohio.

Ohio law requires that all health care practitioners establish a physician-patient relationship, before diagnosing and/or treating, a patient via telemedicine. A physician-patient relationship can be established through an in-person physical examination of the patient and a review of the patient’s medical history. There is an expectation that the physician reviewing the patient to determine if they are eligible for telemedicine will be providing care on an ongoing basis. Health care practitioners are required to document and record the patient’s informed consent.

Useful Resources

HIPAA is a federal law that protects the privacy of identifiable patient information, requires electronic and physical security standards related to the storage and use of PHI, and establishes standard transactions and code sets to simplify billing and other electronic transactions. HIPAA standards were updated in 2009 by the implementation of the HITECH Act and again in 2013 by the HIPAA Omnibus Rule. In accordance with HIPAA standards, is HITECH and BAA certified, and has put in place measures to protect the confidentiality of health information in any form, whether written, oral, or electronic.

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